Certificate of Occupancy (12) CITY ��U� ��ER�F/CATEOFOCCUPANCY
~~. TIGARD
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T }�z; 1mzsSWxanmw ngamome7zza 503 718.2439 Permit Issued: 01/05/2017
Parcel: 33106DB10700
Jurisdiction: Tigard
Site address: 174z1SvvAMELIA ST
Subdivision: RIVER TERRACE NORTHWEST Lot: 107
Project Description: New SF. 3/30/17 REPRINT to add patio cover.
Class of Work: NEW
Type of Use: SF
Type of Constr: VB
Occupancy Group: R-3
Occupancy Load:
Fire Sprinkler Required:
Project Name: River Terrace Northwest. Lot 107
Owner: ADLV LAND HOLDINGS LLC
BY FORSUM, MICHAEL
7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
Phone:
Contractor: WILLIAM LYON HOMES INC
109 E 13TH STREET
VANCOUVER,WA 98660
Phone: 360'695'7700
Fax:
This Certificate issued 7/7/2017 grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the 2014 State of Oregon Specialty
Codes for the group,occupancy,and use under which the referenced permit was issued.
Mark VanDomelen
Building Official
City of Tigard